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ANTIOXIDANTS
Dr.K.Sathishbabu
Final year PG, KFMSR
Free radicals
Antioxidants
Types of Antioxidants
Clinical significance
Summary
Outline
2
Free radicals
● Oxygen – highly reactive atom; capable of becoming part of
potentially damaging molecule called “free radicals”
● Formed from oxidative reactions
● Damage the cells structurally & functionally
Ex : Singlet oxygen (O2
-), Superoxide anion (O2
-), Hydrogen peroxide
(H2O2), Hydroxyl radical (OH-) & Hypochlorous acid (HCLO-) 3
Free radical formation
4
Reactive oxygen species (ROS)
● Defined as all highly unstable and highly reactive oxygen
containing molecules including free radicals
● Capable of reacting with membrane lipids, nucleic acids,
proteins and enzymes resulting in cellular damage
5
Free radicals & ROS
● Oxygen-centered radicals:
○ Superoxide O2
-
○ Hydroxyl OH-
● Sulphur-centered radical:
○ Glutathione radical GS-
● Carbon-centered radical:
○ Trichlormethyl (CCL3
-)
● Nitric oxide : NO-
● Reactive oxygen species (ROS):
○ Oxygen-centered radicals O2
-.
OH- and
○ Potentially dangerous non-
radical derivatives of O2
(H2O2, -O2, HOCI, and –O3)
6
In vivo production of ROS & free radicals
● O2
- and H2O2 by
○ Activated phagocytes
○ Endothelial cells
○ Fibroblasts and lymphocytes
○ Auto oxidation reactions
○ Leakage of electrons from
the electron transport chains
● NO- by
○ Vascular endothelial cells
7
Free radicals – physiological roles
● O2- inactivates enzymes in bacteria in vitro, inactivates NADH
dehydrogenase complex in the mitochondrial electron transport
chain
● NO- (or a derivative) smooth muscle cell relaxation
● O2- + NO-  peroxynitrite (ONOO-)  vasoconstriction
(regulation of vascular tone)
8
9
Free radicals - Sources
Normal cellular
activities :
• ETC reactions
• Liver detoxification
• Immune reactions
Pathological events :
• Ionizing radiation
• Toxic chemicals
• Tissue ischemia
Disease states :
• Inflammatory &
Degenerative
diseases
• Carcinogenesis
10
Mechanism of cell damage
Endogenous sources :
Mitochondrial leakage
Respiratory burst
Enzyme reaction etc.
Environmental sources :
Cigarette smoking
UV Radiation/ Pollutants
Xenobiotics etc
Free radical formation
Lipids
Lipid per oxidation
Membrane damage
Proteins
Oxidative modification of
proteins
Protein fragmentation / cross
linkage
DNA
Single strand breakage /
Base modification
Altered gene expression
CELL INJURY
11
Free radical measurement
● ORAC : Oxygen radical
absorbance capacity
● TRAP : Total radical trapping
antioxidant potential
● Beta carotene bleaching
● DPPH / Superoxide anion / NO /
total phenol assays
● Measuring the serum samples &
tissue homogenate of
 Lipid peroxidase (LPO)
 GSH / GR / GST
 SOD
 Catalase / LDH / G6P / CPK
12
Antioxidant
- A molecule that prevents the breakdown of another molecule by
oxygen
- Slows or inhibits the oxidation reaction
13
Mechanism of antioxidant
14
MODES OF ACTION OF ANTIOXIDANT
● Chain breaking reactions
Ex : α tocopherol which acts in lipid phase to trap the radical
● Reducing the concentration of reactive oxygen species
Ex : glutathione
● Scavenging initiating radicals
Ex : SOD which acts in aqueous phase to trap superoxide free radicals
● Chelating the transition metal catalysts
15
TYPES OF ANTIOXIDANTS
16
BASED ON PROPERTIES
ENZYMATIC ANTIOXIDANTS
1. Primary :
○ Endogenous molecules
○ Act at the source of ROS
○ Continuous elimination
○ Superoxide Dismutase(SOD),
Catalase, Glutathione peroxidase
2. Secondary :
-Exogenous molecules carried
by food
-Scavenge secondary free
radicals
-Glutathione reductase &
Glucose-6-Phosphate Dehydrogenase
17
NON - ENZYMATIC ANTIOXIDANTS
● Vitamins :
○ A,C & E
● Minerals :
○ Zinc, Selenium, Manganese,
Copper
● Carotenoids :
○ B carotenes, Lycopene etc.
● Antioxidant co-factors :
○ Co enzyme Q10
● Low molecular weight
Antioxidants :
○ Glutathione, Uric acid
● Polyphenols :
○ Flavonoids, Phenolic acids 18
BASED ON SOURCES
● Natural :
○ Chlorophyll derivatives
○ Carotenoids
○ Essential oils
○ Alkaloids & Phenolics
○ Nitrogenic compounds
● Synthetic :
○ Butylated hydroxyanisole
○ Butylated hydroxytoluene
○ Ethoxquin
○ Propul gallate
19
BASED ON DEFENSE MECHANISM
● Preventive :
○ Peroxidase
○ Catalase
○ Lactoferrin etc.
● Radical scavenging :
○ Vitamin C
○ Carotenoids
● Repair & Denovo
● Enzyme inhibitors
20
CLINICALLY
IMPORTANT
ANTIOXIDANTS
21
SUPEROXIDE DISMUTASE (SOD)
● Metalloprotein
● Ubiquitously in all aerobic organisms
● More potent antioxidant
● Mainly targets superoxide anion(O2
-) and singlet oxygen(‘O2)
● Function : 2O2
- + 2H+ -------------------- H2O2 + O2
● Has many subgroups : SOD1, SOD2 & SOD3
SOD
22
SOD - TYPES
SOD 1 :
•Present in cytoplasm
•Co-factors : Cu & Zn
•Important constituent
in apoptotic signaling
& Oxidative stress
•Role in degenerative
diseases, oldage and
carcinogenesis
SOD 2 :
•Present in
mitochondria
•Co-factors : Fe & Mn
•Protects against cell
death due to oxidative
stress, ionizing radiation
and inflammatory
cytokines
SOD 3 :
•Extracellular
•Elimination has only
minimal effects
•Protects the brain,
lungs and other tissues
23
GLUTATHIONE
● Mother of all antioxidants
● Hydrophilic ; found in every cells of the body
● “Directly found in cells and breakdown the free radicals within
the cells”
● Scavenges hydroxyl free radicals
● Sources : Garlic, Broccoli, Onions, Dairy products, Oats,
Chicken etc. 24
GLUTATHIONE
● Reduced form of glutathione :
○ Regulates IL2 dependent T lymphocyte proliferation
○ Reduce oxidative stress
○ Protects against cytotoxic effects of nicotine on fibroblasts
● Smoking – reduce glutathione in saliva & plasma
● Decrease the incidence of prostate, colon & lung cancer 25
VITAMINS - CAROTENES
● One of the essential antioxidant for health and well being
● Types : α, β, γ, δ – first two are most potent
● These are group of red, orange and yellow pigments found in
plant foods(fruits and vegetables)
● β Carotenes : anti-ageing micronutrients, decrease the immune
function, cardiac illnesses, cataract and cancer
26
VITAMINS - TOCOPHEROL
● Also known as “vitamin E”
● α -tocopherol is an active form
● Fat soluble ; present in all cell membranes
● Mainly stored in adipose tissue, liver and muscle
● Sources : Peanut oil, Sunflower oil, Cotton seed oil and Green
leafy vegetables
27
VITAMINS - TOCOPHEROL
● Prevents per oxidation at cell membranes and protects poly
unsaturated fats
● Enhances body’s immune responses
● Inhibits the conversion of nitrites into nitrosamines in stomach
(Nitrosamines – cancer promoters)
● Lowers the risk of angina and cardiac disease mortality
● Slows the progression of Parkinson's disease 28
VITAMINS – ASCORBIC ACID
● Vitamin C
● Water soluble ; secondary free radical scavenger
● Present in extra cellular fluids
● Mainly neutralizes H2O2
● Sources : Citrus fruits - lime, orange, tomatoes, amla &
cabbage, Watermelon etc.
29
VITAMINS – ASCORBIC ACID
● Protecting tissues against oxidative stress
● Suppresses the formation of carcinogens
● Reduce the risk of cardiovascular diseases by decreasing total
cholesterol levels
● Maintains healthy collagen in skin, tissues and teeth etc.
● Reduced levels of vitamin C can cause cataract
30
MINERALS
● Works along with vitamins in fighting free radicals
○ Ex : Vitamin E + Selenium  free radical scavenging
● Act as enzyme co-factors
○ Zinc & Copper – for SOD1 & Iron & Mn – for SOD2
● Selenium : reduces colorectal, prostate and lung cancers
● Zinc + vitamin A  synergistic action  persistent diarrhoea
31
PROTEINS
● Ceruloplasmin & Transferrin – prevents iron dependent lipid
peroxidation
● Bilirubin – protects albumin bound free fatty acids from
peroxidation
● Albumin – scavenges the free radicals which binds on its
surface
32
HORMONES - MELATONIN
● Powerful antioxidant
● Can cross blood brain barrier and other cell membranes
● Binds with free radicals  forms stable complex  “Terminal
/ Suicidal antioxidant”
33
URIC ACID
● Most abundant ; Uncomplicated antioxidant
● Marker of oxidative stress
● More potent against singlet oxygen and hydroxyl radicals
● Sources : sweetbread, liver, beef meat etc.
● Reduce the risk of stroke, atherosclerosis and Parkinson’s
disease.
34
ESSENTIAL OILS
● Volatile oils
● Isolated from various plant components – leaves, flower etc.
● Advantages :
○ Small molecular size – easily penetrate skin tissues
○ Lipid soluble – Easily penetrate & cross membranes
○ Powerful antioxidant – prevent mutants and oxidants in cells 35
DRUGS WITH ANTIOXIDANT PROPERTY
● Xanthine oxidase inhibitors – Allopurinol, Oxypurinol
● N-acetyl cysteine
● MAO-B inhibitor : Selegiline
● Iron chelators – Deferoxamine
● Adenosine
● Statins – Atorvastatin
● Carvedilol 36
SUMMARY
● Oxidative reactions that releases the highly reactive free radicals
that causes cell damage
● Antioxidants acts on free radicals and prevents cell damage
● Endogenous antioxidants focusing on primary free radicals
● Exogenous antioxidants obtained mainly from natural & dietary
sources and targets secondary free radicals
● SOD – Continuous elimination within the cell level 37
SUMMARY
● Glutathione – mother of all antioxidants
● Fat soluble vitamins – present in membranes and prevents lipid
peroxidation
● Water soluble vitamins – present in ECF and neutralizes H2O2
● Minerals – act as enzyme co factors
● Melatonin – suicidal antioxidant
● Uric acid – most abundant & more potent against both 1&2’ ROS38
39
REFERENCES
● Sharma.H.L,Sharma.K.K.Principles of pharmacology.2nd edition.Hyderabad:
Parasmedical;2015
● GOODMAN&GILMAN’S.The pharmacological basis of therapeutics.13th
edition.Mcgraw hill books;2017
● Tripathi.K.D.Essentials of medical pharmacology.7th edition.new
delhi:Jaypee brothers;2013
● Rituparna maiti.Postgraduate topics in pharmacology 2nd edition.Hyderabad:
PARAS; 2015. 40
THANK YOU
41

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ANTIOXIDANTS ppt.pptx

  • 2. Free radicals Antioxidants Types of Antioxidants Clinical significance Summary Outline 2
  • 3. Free radicals ● Oxygen – highly reactive atom; capable of becoming part of potentially damaging molecule called “free radicals” ● Formed from oxidative reactions ● Damage the cells structurally & functionally Ex : Singlet oxygen (O2 -), Superoxide anion (O2 -), Hydrogen peroxide (H2O2), Hydroxyl radical (OH-) & Hypochlorous acid (HCLO-) 3
  • 5. Reactive oxygen species (ROS) ● Defined as all highly unstable and highly reactive oxygen containing molecules including free radicals ● Capable of reacting with membrane lipids, nucleic acids, proteins and enzymes resulting in cellular damage 5
  • 6. Free radicals & ROS ● Oxygen-centered radicals: ○ Superoxide O2 - ○ Hydroxyl OH- ● Sulphur-centered radical: ○ Glutathione radical GS- ● Carbon-centered radical: ○ Trichlormethyl (CCL3 -) ● Nitric oxide : NO- ● Reactive oxygen species (ROS): ○ Oxygen-centered radicals O2 -. OH- and ○ Potentially dangerous non- radical derivatives of O2 (H2O2, -O2, HOCI, and –O3) 6
  • 7. In vivo production of ROS & free radicals ● O2 - and H2O2 by ○ Activated phagocytes ○ Endothelial cells ○ Fibroblasts and lymphocytes ○ Auto oxidation reactions ○ Leakage of electrons from the electron transport chains ● NO- by ○ Vascular endothelial cells 7
  • 8. Free radicals – physiological roles ● O2- inactivates enzymes in bacteria in vitro, inactivates NADH dehydrogenase complex in the mitochondrial electron transport chain ● NO- (or a derivative) smooth muscle cell relaxation ● O2- + NO-  peroxynitrite (ONOO-)  vasoconstriction (regulation of vascular tone) 8
  • 9. 9
  • 10. Free radicals - Sources Normal cellular activities : • ETC reactions • Liver detoxification • Immune reactions Pathological events : • Ionizing radiation • Toxic chemicals • Tissue ischemia Disease states : • Inflammatory & Degenerative diseases • Carcinogenesis 10
  • 11. Mechanism of cell damage Endogenous sources : Mitochondrial leakage Respiratory burst Enzyme reaction etc. Environmental sources : Cigarette smoking UV Radiation/ Pollutants Xenobiotics etc Free radical formation Lipids Lipid per oxidation Membrane damage Proteins Oxidative modification of proteins Protein fragmentation / cross linkage DNA Single strand breakage / Base modification Altered gene expression CELL INJURY 11
  • 12. Free radical measurement ● ORAC : Oxygen radical absorbance capacity ● TRAP : Total radical trapping antioxidant potential ● Beta carotene bleaching ● DPPH / Superoxide anion / NO / total phenol assays ● Measuring the serum samples & tissue homogenate of  Lipid peroxidase (LPO)  GSH / GR / GST  SOD  Catalase / LDH / G6P / CPK 12
  • 13. Antioxidant - A molecule that prevents the breakdown of another molecule by oxygen - Slows or inhibits the oxidation reaction 13
  • 15. MODES OF ACTION OF ANTIOXIDANT ● Chain breaking reactions Ex : α tocopherol which acts in lipid phase to trap the radical ● Reducing the concentration of reactive oxygen species Ex : glutathione ● Scavenging initiating radicals Ex : SOD which acts in aqueous phase to trap superoxide free radicals ● Chelating the transition metal catalysts 15
  • 17. BASED ON PROPERTIES ENZYMATIC ANTIOXIDANTS 1. Primary : ○ Endogenous molecules ○ Act at the source of ROS ○ Continuous elimination ○ Superoxide Dismutase(SOD), Catalase, Glutathione peroxidase 2. Secondary : -Exogenous molecules carried by food -Scavenge secondary free radicals -Glutathione reductase & Glucose-6-Phosphate Dehydrogenase 17
  • 18. NON - ENZYMATIC ANTIOXIDANTS ● Vitamins : ○ A,C & E ● Minerals : ○ Zinc, Selenium, Manganese, Copper ● Carotenoids : ○ B carotenes, Lycopene etc. ● Antioxidant co-factors : ○ Co enzyme Q10 ● Low molecular weight Antioxidants : ○ Glutathione, Uric acid ● Polyphenols : ○ Flavonoids, Phenolic acids 18
  • 19. BASED ON SOURCES ● Natural : ○ Chlorophyll derivatives ○ Carotenoids ○ Essential oils ○ Alkaloids & Phenolics ○ Nitrogenic compounds ● Synthetic : ○ Butylated hydroxyanisole ○ Butylated hydroxytoluene ○ Ethoxquin ○ Propul gallate 19
  • 20. BASED ON DEFENSE MECHANISM ● Preventive : ○ Peroxidase ○ Catalase ○ Lactoferrin etc. ● Radical scavenging : ○ Vitamin C ○ Carotenoids ● Repair & Denovo ● Enzyme inhibitors 20
  • 22. SUPEROXIDE DISMUTASE (SOD) ● Metalloprotein ● Ubiquitously in all aerobic organisms ● More potent antioxidant ● Mainly targets superoxide anion(O2 -) and singlet oxygen(‘O2) ● Function : 2O2 - + 2H+ -------------------- H2O2 + O2 ● Has many subgroups : SOD1, SOD2 & SOD3 SOD 22
  • 23. SOD - TYPES SOD 1 : •Present in cytoplasm •Co-factors : Cu & Zn •Important constituent in apoptotic signaling & Oxidative stress •Role in degenerative diseases, oldage and carcinogenesis SOD 2 : •Present in mitochondria •Co-factors : Fe & Mn •Protects against cell death due to oxidative stress, ionizing radiation and inflammatory cytokines SOD 3 : •Extracellular •Elimination has only minimal effects •Protects the brain, lungs and other tissues 23
  • 24. GLUTATHIONE ● Mother of all antioxidants ● Hydrophilic ; found in every cells of the body ● “Directly found in cells and breakdown the free radicals within the cells” ● Scavenges hydroxyl free radicals ● Sources : Garlic, Broccoli, Onions, Dairy products, Oats, Chicken etc. 24
  • 25. GLUTATHIONE ● Reduced form of glutathione : ○ Regulates IL2 dependent T lymphocyte proliferation ○ Reduce oxidative stress ○ Protects against cytotoxic effects of nicotine on fibroblasts ● Smoking – reduce glutathione in saliva & plasma ● Decrease the incidence of prostate, colon & lung cancer 25
  • 26. VITAMINS - CAROTENES ● One of the essential antioxidant for health and well being ● Types : α, β, γ, δ – first two are most potent ● These are group of red, orange and yellow pigments found in plant foods(fruits and vegetables) ● β Carotenes : anti-ageing micronutrients, decrease the immune function, cardiac illnesses, cataract and cancer 26
  • 27. VITAMINS - TOCOPHEROL ● Also known as “vitamin E” ● α -tocopherol is an active form ● Fat soluble ; present in all cell membranes ● Mainly stored in adipose tissue, liver and muscle ● Sources : Peanut oil, Sunflower oil, Cotton seed oil and Green leafy vegetables 27
  • 28. VITAMINS - TOCOPHEROL ● Prevents per oxidation at cell membranes and protects poly unsaturated fats ● Enhances body’s immune responses ● Inhibits the conversion of nitrites into nitrosamines in stomach (Nitrosamines – cancer promoters) ● Lowers the risk of angina and cardiac disease mortality ● Slows the progression of Parkinson's disease 28
  • 29. VITAMINS – ASCORBIC ACID ● Vitamin C ● Water soluble ; secondary free radical scavenger ● Present in extra cellular fluids ● Mainly neutralizes H2O2 ● Sources : Citrus fruits - lime, orange, tomatoes, amla & cabbage, Watermelon etc. 29
  • 30. VITAMINS – ASCORBIC ACID ● Protecting tissues against oxidative stress ● Suppresses the formation of carcinogens ● Reduce the risk of cardiovascular diseases by decreasing total cholesterol levels ● Maintains healthy collagen in skin, tissues and teeth etc. ● Reduced levels of vitamin C can cause cataract 30
  • 31. MINERALS ● Works along with vitamins in fighting free radicals ○ Ex : Vitamin E + Selenium  free radical scavenging ● Act as enzyme co-factors ○ Zinc & Copper – for SOD1 & Iron & Mn – for SOD2 ● Selenium : reduces colorectal, prostate and lung cancers ● Zinc + vitamin A  synergistic action  persistent diarrhoea 31
  • 32. PROTEINS ● Ceruloplasmin & Transferrin – prevents iron dependent lipid peroxidation ● Bilirubin – protects albumin bound free fatty acids from peroxidation ● Albumin – scavenges the free radicals which binds on its surface 32
  • 33. HORMONES - MELATONIN ● Powerful antioxidant ● Can cross blood brain barrier and other cell membranes ● Binds with free radicals  forms stable complex  “Terminal / Suicidal antioxidant” 33
  • 34. URIC ACID ● Most abundant ; Uncomplicated antioxidant ● Marker of oxidative stress ● More potent against singlet oxygen and hydroxyl radicals ● Sources : sweetbread, liver, beef meat etc. ● Reduce the risk of stroke, atherosclerosis and Parkinson’s disease. 34
  • 35. ESSENTIAL OILS ● Volatile oils ● Isolated from various plant components – leaves, flower etc. ● Advantages : ○ Small molecular size – easily penetrate skin tissues ○ Lipid soluble – Easily penetrate & cross membranes ○ Powerful antioxidant – prevent mutants and oxidants in cells 35
  • 36. DRUGS WITH ANTIOXIDANT PROPERTY ● Xanthine oxidase inhibitors – Allopurinol, Oxypurinol ● N-acetyl cysteine ● MAO-B inhibitor : Selegiline ● Iron chelators – Deferoxamine ● Adenosine ● Statins – Atorvastatin ● Carvedilol 36
  • 37. SUMMARY ● Oxidative reactions that releases the highly reactive free radicals that causes cell damage ● Antioxidants acts on free radicals and prevents cell damage ● Endogenous antioxidants focusing on primary free radicals ● Exogenous antioxidants obtained mainly from natural & dietary sources and targets secondary free radicals ● SOD – Continuous elimination within the cell level 37
  • 38. SUMMARY ● Glutathione – mother of all antioxidants ● Fat soluble vitamins – present in membranes and prevents lipid peroxidation ● Water soluble vitamins – present in ECF and neutralizes H2O2 ● Minerals – act as enzyme co factors ● Melatonin – suicidal antioxidant ● Uric acid – most abundant & more potent against both 1&2’ ROS38
  • 39. 39
  • 40. REFERENCES ● Sharma.H.L,Sharma.K.K.Principles of pharmacology.2nd edition.Hyderabad: Parasmedical;2015 ● GOODMAN&GILMAN’S.The pharmacological basis of therapeutics.13th edition.Mcgraw hill books;2017 ● Tripathi.K.D.Essentials of medical pharmacology.7th edition.new delhi:Jaypee brothers;2013 ● Rituparna maiti.Postgraduate topics in pharmacology 2nd edition.Hyderabad: PARAS; 2015. 40

Editor's Notes

  1. It has the highest concentration of any of antioxidants found in blood cells and it accounts for more than half of all antioxidant capacity